October 2017

CHAIR'S COLUMN

October has an annual significance both national and personal. It is Breast Cancer Awareness month. It is the anniversary of the beginning of my own journey with breast cancer--this October marks my 10th.

Managed care litigation is generally described as the tug of war among payors (insurers and self-funded plans), providers (physicians, hospitals, and other medical service providers), and patients (members or beneficiaries of health plans).

The Centers for Medicare & Medicaid Services (CMS) published a proposed rule on Thursday, August 17, 2017 (Proposed Rule) that, if adopted without significant change, will cancel three bundled payment models and a post-cardiac episode incentive model before their launch, and shrink the scope of another bundled payment model as it approaches its third year in effect.